Individual
AMANDA M SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4137
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102858
IL
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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